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psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
February 12, 2019 - October 5, 2015
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
March 31, 2021 - March 31, 2021
Guidance for health care leaders during the recovery stage of the COVID
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psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
June 23, 2021 - September 13, 2017
Guidance for health care leaders during the recovery stage of the
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psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and
May 25, 2022 - May 25, 2022
Guidance for health care leaders during the recovery stage of the COVID-
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psnet.ahrq.gov/node/848816/psn-pdf
May 10, 2023 - Racial bias in cesarean decision-making.
May 10, 2023
Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol
MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927.
https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making
Racial bias negatively impacts maternal…
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - The Case
An 83-year-old man with chronic kidney disease and end-stage congestive heart failure (CHF) … Dying of end-stage heart failure and renal failure can be relatively peaceful, but it may also require … Palliative care in end-stage renal disease: illness trajectories, communication, and hospice
use. … The use of opioid analgesia in end-
stage renal disease patients managed without dialysis: recommendations
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psnet.ahrq.gov/node/73209/psn-pdf
May 05, 2021 - Medication incident recovery and prevention utilising an
Australian community pharmacy incident reporting
system: the QUMwatch study.
May 5, 2021
Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian
community pharmacy incident reporting system: the QUMwatch stud…
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psnet.ahrq.gov/primer/never-events
September 07, 2019 - death or serious injury associated with a fall while being cared for in a healthcare setting Any stage … 3, stage 4, and unstageable pressure ulcers acquired after admission/presentation to a healthcare setting
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psnet.ahrq.gov/primer/debriefing-clinical-learning
September 07, 2019 - All forms of debriefing have a shared structure that involves setting the stage followed by three phases … including description or reactions, analysis, and application. 2 Setting the stage: To be effective … 14 To build psychological safety, the expectations for participation should be discussed during this stage … During the debrief, JA sets the stage and provides the participants a chance to share their reactions
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psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
November 25, 2015 - June 17, 2014
High Quality Care for All: NHS Next Stage Review Final Report.
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psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it
November 30, 2016 - WebM&M Cases
Overdose of Gabapentin and Oxycodone in a Patient with End-Stage
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psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
September 10, 2009 - January 23, 2019
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/medical-liability-new-ideals-making-system-work-better-patients
May 18, 2011 - December 23, 2012
Hearing on Patient Safety and Quality Issues in End Stage Renal Disease
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psnet.ahrq.gov/issue/national-medical-error-disclosure-and-compensation-medic-act
December 06, 2011 - Resources From the Same Author(s)
Hearing on Patient Safety and Quality Issues in End Stage
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psnet.ahrq.gov/issue/peoples-experiences-diagnosis
June 17, 2014 - Related Resources From the Same Author(s)
High Quality Care for All: NHS Next Stage
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psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
June 09, 2009 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage
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psnet.ahrq.gov/issue/high-cost-low-morale-clinical-laboratory-how-workplace-environment-impacts-patient-safety
March 06, 2005 - Improving inpatient mental health medication safety through the process of obtaining HIMSS Stage
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psnet.ahrq.gov/issue/patient-safety-dialysis-facility
May 27, 2015 - May 27, 2015
AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.
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psnet.ahrq.gov/issue/check-safety-culture-my-patient-care-area
December 22, 2010 - September 28, 2010
A morning briefing: setting the stage for a clinically and operationally
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psnet.ahrq.gov/issue/rise-patient-safety-organizations
September 29, 2017 - September 29, 2017
High Quality Care for All: NHS Next Stage Review Final Report.